Jacqueline Angela Miller, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HADS001050 Issued in GA

Practice address

4190 Old Milton Pkwy Ste 2E
Alpharetta, GA 30005-6459

Phone

(770) 462-2000

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifestyle Hearing Corporation USA Inc

  • Audiologist-Hearing Aid Fitter
  • Palm Beach Gardens, FL
  • NPI 1316338346
  NPD
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1801480355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246541",
            "telephone_number": "678-288-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 OLD MILTON PKWY STE 2E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056459",
            "telephone_number": "770-462-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACQUELINE",
        "middle_name": "ANGELA",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqui.miller@walmart.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3245 Lawrenceville Suwanee Rd",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300246541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Millennium Medical Alpharetta
• Millennium Medical and Spa Corp
• Miller Psychological Associates LLC
• Ciara Miller
• Elana Miller, SLP
• Janae Jazmeen Miller, BCBA
• Sue Barrick Miller, PH.D.
• Casey Marie Millis, D.C.
• Alaishyah Mills-Barber
• Christine Mills, PTA

• Hearing Instrument Specialist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Hearing Instrument Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.